CPT code 95911: Nerve conduction study, 9-10 studies2026 Medicare rate & RVUs in California
Reports conventional nerve conduction testing when the examination includes nine or ten studies to evaluate suspected peripheral nerve dysfunction.
Medicare pays $232.93–$287.32 for 95911 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 95911 covers
A physician or qualified clinician uses surface electrodes and electrical stimulation to measure how signals travel through peripheral nerves. The results can help assess conditions such as suspected carpal tunnel syndrome, ulnar neuropathy, or generalized peripheral neuropathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret these tests in office and hospital settings. The study may be part of an electrodiagnostic evaluation that also includes needle electromyography.
Select this code when the documented examination comprises nine or ten nerve conduction studies; the count is based on the studies performed, not the diagnosis or number of body regions evaluated. Keep a record of the nerves and tests performed, along with the findings and interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 95911 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$232.93 to $287.32
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $233.34 | Unavailable |
| Chico, CA | $232.93 | Unavailable |
| El Centro, CA | $232.95 | Unavailable |
| Fresno, CA | $232.93 | Unavailable |
| Hanford, CA | $232.93 | Unavailable |
| Los Angeles, CA | $247.09 | Unavailable |
| Madera, CA | $232.93 | Unavailable |
| Marin County, CA | $281.51 | Unavailable |
| Merced, CA | $232.93 | Unavailable |
| Modesto, CA | $232.93 | Unavailable |
| Napa, CA | $266.62 | Unavailable |
| Oxnard, CA | $245.75 | Unavailable |
| Redding, CA | $232.93 | Unavailable |
| Rest of California | $232.93 | Unavailable |
| Riverside, CA | $234.07 | Unavailable |
| Sacramento, CA | $243.55 | Unavailable |
| Salinas, CA | $242.60 | Unavailable |
| San Benito County, CA | $287.32 | Unavailable |
| San Diego, CA | $247.54 | Unavailable |
| San Francisco, CA | $281.40 | Unavailable |
| San Luis Obispo, CA | $238.75 | Unavailable |
| Santa Clara County, CA | $286.85 | Unavailable |
| Santa Cruz, CA | $249.36 | Unavailable |
| Santa Maria, CA | $243.30 | Unavailable |
| Santa Rosa, CA | $251.85 | Unavailable |
| Stockton, CA | $232.93 | Unavailable |
| Vallejo, CA | $266.46 | Unavailable |
| Visalia, CA | $232.93 | Unavailable |
| Yuba City, CA | $232.93 | Unavailable |
How the 95911 rate is calculated
Each of 95911’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95911
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense4.05
4.05 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
6.5900
Conversion factor
$33.4009
Medicare rate
$220.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95911
The CMS indicators that decide how 95911 is paid alongside other services.
CMS payment indicators · 95911
Nerve conduction study, 9-10 studies
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95911 without 26 · national office
$220.11
Nerve conduction study, 9-10 studies
95911-26 · Professional component
$132.60
Pays only the interpretation and report.
95911 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95910Nerve conduction study7-8 studies
- Use 95910 when the examination includes seven or eight nerve conduction studies; use 95911 for nine or ten.
- 95912Nerve conduction study11–12 studies
- Use 95912 when the examination includes eleven or twelve nerve conduction studies; use 95911 for nine or ten.
- 95905Nerve conduction testAutomated device, 1-2 studies
- 95905 describes testing performed with an automated nerve conduction device. Code 95911 represents conventional testing selected by study count.
- 95886Needle EMG add-onComplete study, each extremity
- 95886 is for needle electromyography of an extremity. Code 95911 reports nerve conduction testing; both may be appropriate when both services are performed.
95911 billing questions
How is this code distinguished from 95910 or 95912?
Choose among these codes by the documented number of nerve conduction studies performed. This code is for nine or ten; 95910 is for seven or eight, and 95912 is for eleven or twelve.
Can needle EMG be reported with this service?
Yes, when needle electromyography is separately performed and documented as part of the electrodiagnostic evaluation. Nerve conduction testing and needle EMG describe different testing methods.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.
Is 95905 interchangeable with this code?
No. 95905 describes nerve conduction testing with an automated device, while 95911 represents conventional testing counted by the number of studies performed.
What documentation supports the study count?
Document the nerves and testing performed, the results, and the interpretation. The record should support that the examination included nine or ten studies.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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